| NPI | 1770667537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH T-0833) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 220220) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 220220) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NH T-0833) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-12-15 |